Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $3,038.00 / $5,695.75	Facility		$308.87	$3,038.00	$5,695.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $308.87 / $742.92	Professional		$308.87	$308.87	$742.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $444.20 / $646.87	Professional		$323.08	$444.20	$646.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $201.09 / $283.67	Professional		$26.80	$201.09	$283.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.52 / $486.78 / $584.27	Professional		$402.52	$486.78	$584.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.68 / $324.00 / $599.77	Professional		$272.68	$324.00	$599.77